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Monday, Jun 27 2016

Full Issue

Perspectives On Addiction, Opioids And Managing Pain

Editorial and opinion writers offer their thoughts on these timely topics.

There are, speaking broadly, two schools of thought on addiction: The first was that my brain had been chemically 鈥渉ijacked鈥 by drugs, leaving me no control over a chronic, progressive disease. The second was simply that I was a selfish criminal, with little regard for others, as much of the public still seems to believe. (When it鈥檚 our own loved ones who become addicted, we tend to favor the first explanation; when it鈥檚 someone else鈥檚, we favor the second.) We are long overdue for a new perspective 鈥 both because our understanding of the neuroscience underlying addiction has changed and because so many existing treatments simply don鈥檛 work. (Maia Szalavitz, 6/25)

Like many Americans, I want to know how we got to the point that nearly 30,000 of our fellow countrymen and women died last year from overdosing on opioid painkillers. Answers, lots of answers, are to be found in a report written by staff working in the the US Senate. But the senators overseeing the report have failed to release it. (Paul D. Thacker, 6/27)

Just a few years ago, the words 鈥渙pioid epidemic鈥 would have raised moderate public concern at best. Now, not a day goes by without news reports citing the latest statistics on overdose deaths and the most recent political initiative to combat the raging trend in drug abuse. The numbers are staggering. Opioid-related overdose deaths 鈥 primarily due to prescription painkillers and heroin 鈥 have more than quadrupled since 2000. Georgia is among the states where the increase has been particularly steep: more than 10 percent since 2013. (Michael L. Fishman, 6/24)

Chronic pain is a tremendous public health problem. The Institute of Medicine estimates chronic pain affects 100 million Americans at an estimated annual cost of $600 billion. But the rampant use of opioids to treat chronic pain stands out as the least-defensible and most-harmful of our maltreatments. Many U.S. physicians remain resistant to this, though I would argue other options should be considered. (Daniel Clauw, 6/25)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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